Long term complications of hypospadias repair: A ten-year experience from Northern Zone of Tanzania.

Abstract

Background Hypospadias is one of the commonest congenital penile abnormalities in new born males. The external urethral opening can be located anywhere from the glans penis along the ventral aspect of the shaft of the penis up to the scrotum or the perineum in extreme cases. The condition has a huge impact on the patient’s psychological, emotional and sexual well-being. Aim To determine the proportion of patient who develop long term complications after hypospadias repair and its associated risk factors. Materials and Methods This was a hospital based analytical cross-sectional study, conducted at KCMC Urology Institute from January 2009 to December 2018.The structural data sheet was used to collect information from patient file. Study parameters include age, location of hypospadias, surgical technique, surgeon experience, chordee, suture size, materials to assess the association with long-term complications. Results: A total of 254 patients were included in the study, majority were aged more than two years (71.83%) with mean age at operation (SD) of 4.74 ± 2.99 years) . Distal types were the most common type of hypospadias 125(50%), where by 51(20%) of patients had severe chordee. TIP repair was most common technique in 130(51.59%). The proportion of long-term complications among patients who underwent hypospadias repair was 156(61.60%) and UCF accounted for 40.5%, the surgeon experience, location of hypospadias, surgical technique and associate chordee were significant predictors of long-term complications of hypospadias repair. Conclusion TIP urethroplasty is a safe and reliable method of hypospadias repair. Proximal hypospadias with severe chordee still remain a challenge.